Based on interview and record review, the facility failed to ensure staff training needs, as identified in the facility assessment and the annual in-servicing calendar, were not met for five of five staff reviewed. The facility failed to maintain documentation staff completed 12 hours of inservice training annually. The facility census was 83. During an interview on 06/11/26 at 5:37 P.M., the Administrator said the facility did not have a policy addressing 12-hours of annual training. Review of the Facility Assessment Tool, dated 07/20/25, showed the following:-Required in-service training must be sufficient to ensure the continuing competencies and be no less than 12 hours per year. …
F947 citations in Missouri
Nurse aide training · Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Missouri cites F947 more often than its own record predicts
2.68 times the share F947 takes of citations nationally.
Of every deficiency written in Missouri in 2025, this is the portion that was F947.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Missouri surveyors wrote
F947 findings written in Missouri, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, facility staff failed to ensure Certified Nurse Aid (CNA) G, nurse aid (NA) H and CNA I received a minimum of 12 hours of ongoing education annually. The facility census was 50.1. Review of the Facility's Nurse Aide Regular In-Service Training policy, dated 01/20/24, showed the in-service training must be sufficient to ensure the continuing competence of the nurse aides but must be no less than 12 hours per year, include dementia training and resident abuse prevention training, and for nurse aides providing services to individuals with cognitive impairments, also address the care of the cognitively impaired.Review of the facility's Resident Matrix, dated 09/22/25, showed staff documented 16 residents who resided in the facility with diagnoses of… …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.69% | 2.66× |
| 2024 | 0.80% | 2.63× |
| 2025 | 0.74% | 2.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri surveyors cite →
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